Wira Gotera

Coronary Heart Disease in a Remote Area

A study on coronary heart disease (CHD) in a remote area, Ceningan Island,was conducted.The nutrition states based on BMI were underweight,19.3%; normoweight, 54.9%; and overweight at risk, 13.3%; obese I, 9.5%; and obese II, 3.0%. The prevalence of impaired fasting glycemia (IFG), 15.1%; diabetes mellitus (DM), 6.9%; metabolic syndrome (MetS), 6.8%; and CHD, 11.5%. Age, systolic and diastolic blood pressure, levels of total cholesterol; low-density lipoprotein (LDL) cholesterol, apolipoprotein (Apo)A, ApoB, Apo B/A ratio were found higher among subjects with old myocardial infarction (OMI) than subjects without CHD; while BMI and waist circumference were lower among subjects with OMI than subjects without CHD. Conclusion: traditional risk factors such as age, blood pressure, and cholesterol, and Apo were related to CHD in the remote area.

Hypomagnesemia is a risk factor for metabolic syndrome and type 2 diabetes mellitus in native Balinese

Objective To determine the prevalence of hypomagnesemia and the risk of hypomagnesemia on metabolic syndrome and type 2 diabetes mellitus events in native Balinese. Methods A cross-sectional population-based study was conducted in 111 subjects among native Balinese. Chi-square test was used to determine the prevalence risk (OR) of hypomagnesemia for metabolic syndrome and diabetes. Results Prevalence of hypomagnesemia was 17.1%. The prevalence of hypomagnesemia was higher in subjects with metabolic syndrome and type 2 diabetes mellitus than those without (34.7% vs. 12.5%, P = 0.025; and 60.0% vs. 15.1%, P = 0.035). Hypomagnesemia was a risk factor for metabolic syndrome (OR = 3.7; 95% CI, 1.28-10.83) and type 2 diabetes mellitus (OR = 8.4; 95% CI, 1.30-54.50). Conclusion The prevalence of hypomagnesemia is very high among native Balinese and hypomagnesemia is an important risk factor for metabolic syndrome and type 2 diabetes mellitus events in the population.